Please fill in the form (you can often use 'Autofill'), print it out and fax it to (+44) 1372 743838, (or, if you are paying by cheque, post it to us).
Delegates are responsible for booking and paying for their own hotel rooms.
Accommodation details

26-27 May 2010

Washington DC

REGISTRATION FORM


PART A - Delegate registration
Email address (required for confirmation):

Given name:

Family name:

Company:

Position:

Address:
Town:

Postcode / zipcode:

State / county / region:

Country:

Telephone (incl. country code):

Fax:

Nature of business :

How did you hear about this conference:


PART B - Conference fees
The delegate fee is USD995
Discounts on the delegate fees (not applicable to other fees)
10% reduction in delegate fees for lime and cement producers
10% reduction in delegate fees for third and subsequent delegates registered from the same company at the same time. 
10% reduction in delegate fees for delegates younger than 35 years or over 65
40% reduction in delegate fees for students and academics
5% reduction in delegate fees for attendees of any previous Global Fuels Conference
20% reduction in delegate fees for attendance on only one day (does not include attendance at the Gala Dinner)
Delegate fee minus total discounts claimed (%) = subtotal due

I will attend the Field Trip to Lehigh Cement Company's Union Bridge cement plant on Friday 28 May

(USD 50)

I will attend the Gala Dinner on 26 May (USD145)

I would like to book _____ additional tickets to the dinner

Total: _____ x USD145 = _____________

Names of accompanying persons:

PART C - Payment

 

Final total due =

I am sending a cheque

I am paying by bank transfer

I am paying by credit card

Credit card payments will be taken in UK£ using www.XE.com exchange rates on the transaction date. US$ and Euro amounts charged on your card will therefore vary depending on currency fluctuations.

Signature and date

Signature: ________________________________________________ Date: ________________________

Credit Card details
I am paying with Visa Mastercard Amex

Credit card number:

Expiry date (mm/yy): Security code (last three digits on signature strip)
Cardholder's name:

Nominations for the Global Fuels Awards 2010 - All delegates are eligible - Please nominate!

Please make any nominations for the awards, below:

Outstanding alternative fuel project (cement or lime company):  
Most innovative technology for alternative fuel use :
Outstanding electrical energy efficiency project award
(cement or lime company):
Most innovative technology for electrical energy efficiency :
Please note.
The Conference/Exhibition fee includes attendance at the conference and exhibition, conference documentation (proceedings and CD), lunches, cocktail receptions.
Delegates may receive a 80% refund of fees paid, up to 1 May but no refunds will be made for cancellations after this date. Substitutions from the same company can be made at no cost up to 20 May.
Payment 'on the door' can be made by company cheque or cash, in EUR, USD, CAD or UK£. We regret that credit cards are not accepted.

Please make cheques payable to 'PRo Publications International Ltd',
and send to First Floor, Adelphi Court, 1 East Street, Epsom, Surrey, KT17 1BB, UK.

Or pay by direct payment to: NatWest Bank, Dorking, Surrey, RH4 1AX, UK.
Account holder: Pro Publications International Ltd
Account No.: 31604412, Sort code: 60-07-02
Swift Code: NWBKGB2L
IBAN: GB21NWBK60070231604412

You must pay all bank charges - including any agency fees if applicable.
A fax or photocopy of this form is acceptable.

Please print out this form and fax it to (+44) 1372 743838.

Thank you for your registration - see you in Washington!